ACORD 139MI Instructions


ACORD 139 MI (2004/07) – Michigan Automobile Insurance Placement Facility Supplement to ACORD Application.

Application for Commercial, Public Automobiles and Corporately Owned Vehicles

Use this form as a supplement when applying for insurance through the Michigan Automobile Insurance Placement Facility. This supplement must be used in conjunction with:

  • ACORD 125 – Commercial Insurance Application
  • ACORD 127 – Business Auto Section
  • ACORD 132 – Truckers/Motor Carriers Section
  • ACORD 163 – Commercial Auto Driver Information Schedule
  • ACORD 129 – Vehicle Schedule
  • ACORD 45 – Additional Interest
  • ACORD 194 – Truckers/Motor Carrier Supplement